ArticleThoracic cancer2022
Preoperative electromagnetic navigation bronchoscopy-guided one-stage multiple-dye localization for resection of subsolid nodules: A single-center pilot study.
Article in Thoracic cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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12 citing papers in PubMed.
- Integrating tactile simulation into thoracic surgery education: a Miller's pyramid-Based study.BMC surgery · 2025Trial
- Comparison of Two Dye Marking Methods for Preoperative Localization of Pulmonary Nodules Guided by Electromagnetic Navigation Bronchoscopy.Thoracic cancer · 2026Article
- Use of a novel claw-suture technique for localization of solitary pulmonary nodules: retrospective study and experience from one center.Journal of thoracic disease · 2024Article
- Comparing the lung isolation efficacy of bronchial blocker positioning via electromagnetic navigation bronchoscopy versus fiberoptic bronchoscopy: a randomized study.Journal of thoracic disease · 2024Article
- Navigation of video-assisted thoracoscopic surgery using electromagnetic versus CT-guided localization (NOVEL): a study protocol for comparing procedural success and complication rates in a prospective, multicenter, randomized controlled, non-inferiority phase III trial.Translational lung cancer research · 2024Article
- Advantages and rational application of indocyanine green fluorescence in pulmonary nodule surgery: a narrative review.Journal of thoracic disease · 2024Review
- Current Status and Future Perspectives of Preoperative and Intraoperative Marking in Thoracic Surgery.Cancers · 2024Review
- A novel preoperative image-guided localization for small pulmonary nodule resection using a claw-suture device.Scientific reports · 2023Article
- The role of bronchoscopy as a novel approach in preoperative lung marking for early-stage lung cancer.Translational cancer research · 2023Article
- 3D localization based on anatomical LANDmarks in the treatment of pulmonary nodules.Journal of thoracic disease · 2022Article
- Preoperative electromagnetic navigation bronchoscopy-guided one-stage multiple-dye localization for resection of subsolid nodules: A single-center pilot study.Thoracic cancer · 2022Article
- Fluorescence-guided lung nodule identification during minimally invasive lung resections.Frontiers in surgery · 2022Review
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11 authors.
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Abstract
backgroundElectromagnetic navigation bronchoscopy (ENB)-guided transbronchial dye marking and video-assisted thoracoscopic surgery (VATS) is an emerging technique that enables successful resection of multiple small subsolid pulmonary nodules. The aim of this study was to evaluate the accuracy and safety of preoperative ENB-guided transbronchial multiple dye localization for VATS resection of subsolid pulmonary nodules.
methodsAs a single-center pilot study, we recruited patients with at least two small or subsolid pulmonary nodules. Multiple-dye localization was performed by intraoperative ENB-guided transbronchial injection of an indigo carmine dye. The patients underwent VATS for sublobar resection immediately after localization. The accuracy of ENB-guided dye marking was checked.
resultsENB-guided one-stage multiple dye localization was conducted for 18 pulmonary nodules in seven patients between September 2018 and December 2019. The mean diameter of the pulmonary nodules was 9.3 mm (range, 4-18) and the mean distance from the pleura to pulmonary nodule was 6 mm (range, 1-17 mm). ENB-guided transbronchial multiple dye localization was successfully performed in 94.4% (17/18), and the accuracy of ENB-guided dye marking was 88.2% (15/17). When two nodules were not seen in intraoperative fields, anatomical sublobar resection was performed. There was no conversion to thoracotomy and operative mortalities. Among the seven patients, only one patient showed mild intrabronchial bleeding but stopped spontaneously. The changes in lung function after multiple wedge resections (-1.6% to 24.8%) were tolerable level.
conclusionsENB-guided one-stage transbronchial dye localization showed accurate and safe intraoperative identification of multiple subsolid pulmonary nodules. A large scale prospective clinical study is warranted.
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